This seminar will present the recently completed randomized impact evaluation of the Performance-Based Financing (PBF) pilot implemented at maternity hospitals in the Kyrgyz Republic. This PBF program is unique in that it only incentivizes the quality, and not the quantity, of maternal and neonatal health services. Structural and clinical quality is assessed through a comprehensive Balanced Scorecard, and supportive feedback provided to practitioners after every quarterly quality review.
The evaluation contrasts PBF against both enhanced quality supervision - the same Balanced Scorecard approach but without linked financial incentives - and a business-as-usual arm. Program data dedicated independent survey data and a comprehensive national birth registry are all used to speak to the program impact on the health of the mother and the newborn. Results suggest that both PBF and enhanced supervision improve select dimensions of structural and process quality, but that PBF leads to better health outcomes.
Light lunch will be served.
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Cover Photo: Giacomo Pirozzi/Unicef.